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Individual

DR. JAMIE E KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18111 BROOKHURST ST #4450, FOUNTAIN VALLEY, CA 92708
(714) 848-2383
(714) 848-4083
Mailing address
18111 BROOKHURST ST #4450, FOUNTAIN VALLEY, CA 92708
(714) 848-2383
(714) 848-4083

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G83581
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G835810
CA
01
1225187388
INDIVIDUAL NPI
CA
Enumeration date
01/09/2007
Last updated
09/09/2011
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